Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independence Medical Group PC

Organization Specialist · NPI 1255545737

Independence Medical Group PC is a Specialist in Independence, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17601 E US Highway 40 Ste S
Independence, MO 64055-5434
Phone: (816) 373-0655
Fax: (816) 478-6374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 103646 (MO)

Record details

NPI number1255545737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Andrews — Physician President · (816) 373-0655
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address17601 E Us Highway 40, Suite S, Independence, MO 64055-5434

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